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Individual
DR. WOODY LYLE SMITHEY JR.
Active
Individual
DR. WOODY LYLE SMITHEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA 4115
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841153
—
LA
01
—
842233
UNITED CONCORDIA
LA
Enumeration date
10/05/2006
Last updated
07/08/2007
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